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HomeMy WebLinkAbout02208 I GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 1V.. 2208 109 8th Street Suite 303 A is Parcel No. Glenwood Springs, Colorado 81601 , Phone (309) 945 -8212 , This does not constitute : i INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. i PROPERTY f Owner's Name Willis= B. NtDowsll Present Address 1098 Valley View, O.S. Phone_ 945 -9898 t System Location 6000 South Riahway 82, Glenwood Springs Legal Description of Assessor's Parcel No. SYSTEM DESIGN il 7 1 'f I Septic Tank Capacity (gallon) Other /� ' 5` A ' I .i HI +A / Percolation Rate (minutes/inch) Number of Bedrooms (or other) 2 2 r q0 e f . A A , i'l i .,,, ,r y n , I , 7i 01 <.I . n ., 4 Required Absorption Area - Sea.Gtlashad 5 63 .,, �r � . 4 - ^ /,L 11 ^ Special Setback Requirements: �- 7 C! n r .cn /J t �. J i ^" 1/ j _:r! .. r : i Date 2 , / 7— 74 Inspector "J F,-.i e '„ - n,. . FINAL SYSTEM INSPECTION AND APPROVAL (as installed) 3» Call for Inspection (24 hours notice) Before Covering Installation t System Installer I ,' ' •' i Septic Tank Capacity 1i 0 0 0 -- 'f Septic Tank Manufacturer or Trade Name C B I L. Ti" K Septic Tank Access within 8" of surface `� 1 1 Absorption Area 2 9 g M P 1 7 ,y-or,' Per cod e r Absorption Area Type and/or Manufacturer or Trade Name �~ ' i Adequate compliance with County and State regulations /requirements Vyy A 1yyy Other / / _'..` qq Date .�1 —. c/ / J Inspector ,'f 'f j ( 24)-C.1_ F RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE r I *CONDITIONS: {& a 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter •f i 25, Article 10 C.R.S. 1973, Revised 1984. 9 2. This permit Is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a 1 requirement of the permit and cause for both legal action and revocation of the permit. 1 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which Involves a knowing and material variation from the terms or specifications contained In the application of permit commits a Class 1, Petty Offense (5500.00 fine —6 I months in Jall or both). Applicant: Green Copy Department: Pink Copy ' Application • INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: OWNER WILLIAM B. MCDOWELL ADDRESS 1098 Valley View Road Glenwood Springs, CO PIIONE 945-9898 r CONTRACTOR not selected 1- C ADDRESS PRONE PERMIT REQUEST FOR: (xx) Q ( )New Installation ( ) Alteration ( ) Repair Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes. (See page 4.) LOCATION OF PROPOSED FACILITY: County Garfield Near what City of Town Glenwood Springs Lot Size .95 acres Legal Description attached description, survey drawing and assessors map WASTES TYPE: (xx ) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: single family residence Number of bedrooms 2 Number of persons ? - (xx) Garbage grinder (xx) Automatic washer (xx) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( xx) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: 240 feet If supplied by community water, give name or supplier: n/a GROUND CONDITIONS: Depth to bedrock: 65 fpp,. Depth to first Ground Water Table: 190 feet Percent ground slope: 30% DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 3 - 5 mil _ Was an effort made to connect to community system?_ no TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (xx) Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: .• FINAL DISPOSAL BY: (xx) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: — — _ _• WILL EFFLUENT BE DISCIIARGED DIRECTLY INTO WATERS OF TIIE STATE? no Absorption rate to be determined SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) Minutes per inch in hole No. 1 Minutes per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes per inch in hole Mo._ Nance, address and telephone of RPE who made soil absorption tests: Name, address and telephone of RPE responsible for design of the system: william x. Mrnowe].L_ PE &LS 4978 1098 Valley View Road Glenwood Springs, CO 81601 Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposes of the evaluation of the application; and the issuance of the periuft.is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further under- stand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for per - jury as provided by law. Date 1 -10 - 94 Signed At it PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY See site plan attached -- Septic system design and layout to be added. • • • Pnnr 1 • Cn (() 1; 41 ` ,,% ,,, , l ,,,,, ,,,,, , Q ` O h V ', ▪ a MQ,r lP (T. �'`, 1, . ' L c''' �I ' •0 %44: , k9 ii �l •, �` \ ` �l .. ▪ --• if. . u' ' �• * r CJ SI ` I i•, 0 ' *,. % . 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I a � O o r L L 1 .-- /• O O � --`` 1 U O I 7' N' N >F t 0 t. o o jo 1.‘7\977 J o 0 u r� J :1/438 1� r 0° ® Q t} ® ® \- 0 J w1 ® / • S 6144$ 0 to, N C (( ® c a O O / / , V � � ` N � O ,e, k °� .o 01 g —•� / • ,1/4.. °O / ■ e ♦ t ° . O ® ® ® E iti ` % , O as 4 , o O y, r r ® O r Rifill V� ° Y 0 4 / Z ' / ° , l . $ f , � l _ N '� 4) S el c o i ® ;,I1 : • O ° R F i t- Q r + N I b + v0 I: % 1/4 1 : ii 1 04 g'b. 3 (a) ■ 1 —�i +xi 7 •1 I /• o . , 6 , ) , . : 1 7!: //' ®i' y o . o o B N cA, n • 1 4t .1 nI ie a ` ♦ , • O a lY & a c y Y O 1i !i ®O 4 0. i, ( i' ' r'• 9 r ,f , n © • . .4 ^ 4C;. l■ • •Y tr . : Ya,.. Art.. oft B00K0884 PAG1652 EXHIBIT "A" PROPERTY DESCRIPTION ORDER NO: 93022204 A Parcel of land lying South of the North line of Section 1, Township 7 South, Range 89 West of the 6th P.M. and West of the West line of Lot 32 of said Township and Range and Northeasterly of State Highway 82, all in Lot 33, Section 1, Township 7 South, Range 88 West of the 6th P.M. Beginning at the North Quarter Corner of Section 1 of said Township and Range, being an iron post monument properly set and marked; thence along the East line of Lot 33 of said Township and Range S. 01 degrees 33'11" E. 118.80 feet to the intersection point of the Northerly right of way line of State Highway 82: thence along said right of way line the following courses and distances: N. 58 degrees 47'00" W. 24.42 feet to a concrete Highway Marker; thence N. 88 degrees 49.27" W. 220.74 feet to a concrete Highway Marker; thence N. 71 degrees 55'34" W. 331.86 feet to the intersection point of the North line of Lot 33, being the same as the North line of section 1; thence along said Section line and Lot line being the same S. 89 degrees 51'23" E. 553.90 feet to the point of beginning. COUNTY OF GARFIELD STATE OF COLORADO